Kelli Gunn, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP002500 Issued in SD

Practice address

2006 Mount Rushmore Rd Ste 2
Rapid City, SD 57701-4726

Phone

(605) 416-9930

Fax

(605) 416-9931

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Premier Medical Clinic, LLCGroup PAC ID 2365892957, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFGDDD/Endpoint/AFGDDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Premier Medical Clinic, LLC

  • Family Nurse Practitioner
  • Rapid City, SD
  • NPI 1356123814
  Medicare reassignment Care Compare group NPD Authorized official
• Great Plains Tribal Chairmen's Health Board

  dba Oyate Health Center

  • Pharmacy
  • Rapid City, SD
  • NPI 1376105452

  TX

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1518343979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MOUNT RUSHMORE RD STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014726",
            "telephone_number": "605-416-9930",
            "fax_number": "605-416-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MOUNT RUSHMORE RD STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014726",
            "telephone_number": "605-416-9930",
            "fax_number": "605-416-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikayla Victoria Lynne Guay, RN
• Helen Guiterres, MS, LPC-MH, CCDC III
• Stephen Laverne Gullikson, DC
• Martha Rose Gunder
• Emily Louise Gunn
• Troy Daniel Gust, M.D.
• Kaitlyn A Guttierez, CSW
• Gutzmer Chiropractic & Acupuncture
• Shannon Marie Gutzmer, PHARM D
• Melissa Guy

• Family Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.